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CASH <br />CHECK 22°Q <br />REFUNDS: <br />CASH <br />CHECK <br />wRECORDED <br />� <br />� HALL COUNTY, NE <br />W INST 1023 0 5 5 13 2023 OCT i q P 2: ,Q4 <br />KRISTI WOLD <br />REGISTER OF DEEDS <br />2200 <br />Return to: <br />Kevin P. Walsh <br />Smith Johnson Law Firm <br />104 N. Wheeler Avenue <br />Grand Island, NE 68801 <br />REVOCABLE TRANSFER ON DEATH DEED <br />(Joint Tenants) <br />Notice to Owners <br />You should carefully read all information on this form. <br />This transfer on death deed must be recorded with the Register of Deeds of the County in which <br />the property is located, before your deaths and within 30 days after being signed. If either of these <br />requirements is not met, this transfer on death deed will not be effective. <br />Identifying Information about Owners <br />Name of Owners <br />Darcy D. Moul and Darcy E. Moul, <br />husband and wife as joint tenants with <br />rights of survivorship <br />Mailing Address of Owners <br />4720 Tara Court <br />Grand Island, NE 68801 <br />Notice to Register of Deeds <br />This is a transfer on death deed, and Form 521 is not required with the filing of this transfer on <br />death deed under Neb. Rev. Stat. §76-214(2)(b). <br />Legal Description <br />The following real estate is transferred by this document, effective at the deaths of the Owners, to <br />the Beneficiary as provided below. <br />Lot Forty-five (45), in Ravenwood Subdivision, Hall County, Nebraska. <br />Beneficiary <br />We designate the following beneficiaries of this revocable transfer on death deed if the <br />beneficiaries survive both of us. <br />Name of Beneficiary <br />Benson Moul <br />Lauren Valasek <br />Mailing Address of Beneficiary <br />4240 Utah Avenue <br />Grand Island, NE 68803 <br />1013 Nebraska Avenue <br />Grand Island, NE 68801 <br />Transfer on Death <br />At the death of the last of us to die, we transfer our interest in the described property to the <br />beneficiaries as designated above. The transfer occurs at the death of the last of the Transferors to <br />die. <br />Page 1 of 3 <br />